319205 11/30/17 +�`'"-�AgMf\ CITY OF CARMEL, INDIANA VENDOR: 355137
vi to [ii •' ONE CIVIC SQUARE BLOODHOUND POLYGRAPH, INC CHECK AMOUNT: S"""""1,000.00"
14=_' -",a4 CARMEL, INDIANA 46032 8741 WALLSTREET DR CHECK NUMBER: 319640
M',;r0„0'1 INDIANAPOLIS IN 46234 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER.. AMOUNT DESCRIPTION
1120 4350900 f °= 1,000.00 REPLACES CK #319205
•
t
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 355137
BLOODHOUND POLYGRAPH, INC IN SUM OF$ CITY OF CARMEL
8741 WALLSTREET DR An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46234
Payee
$1,000.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-509.00 $1,000.00 1 hereby certify that the attached invoice(s),or 11/29/17 0 $1,000.00
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 29,2017
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
BLOODHOUND POLYGRAPH INC.
8741 WALLSTREET DR.
INDIANAPOLIS, IN 46234
(317) 946-9851
TO: Chief David Haboush 11/24/17
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
Dear Sir:
Per your request the following subjects were administered a pre-
employment polygraph exam for the position of Firefighter.
AUSTIN MILLS---------------------------------------------------$ 200.00
ANDREW THOMAS---------------------------------------------$ 200.00
JOHN O'BRIAN---------------------------------------------------$ 200.00
JOHNNY MURPHY----------------------------------------------$ 200.00
SCOTT PLOUGH-------------------------------------------------$ 200.00
TOTAL OWED----------------------------------------------------$ 15000.00
Thank you for your business and if I can be of any further
assistance please feel to call upon me. Please note the new mailing
address above.
Larry R. Smith
President
Bloodhound Polygraph Inc.